Brunelle, Kermit Brion
Brunelle, Kermit Brion is an individual health care provider with primary practice located at 14 Baldwin Ln , Bedford NH 03110-4227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Brunelle, Kermit Brion can be contacted via phone (603) 661-6289.Contact Information
Primary practice address
14 Baldwin Ln
Bedford NH 03110-4227
Phone: (603) 661-6289
Fax: (603) 471-2537
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2020-01293 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 67822 | Minnesota |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD466750 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 8408 | New Hampshire |
Profile Details
| NPI number | 1477529006 |
|---|---|
| LBN Legal business name | Brunelle, Kermit Brion |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Aug 3rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477529006 | NPPES |
| New Hampshire | Other | 29587 | CIGNA - HEALTHSOURCE |
| New Hampshire | Other | 020518021 | CIGNA - HEALTHSOURCE |
| New Hampshire | Other | 020518021 | CIGNA - HEALTHSOURCE |
| New Hampshire | Other | 020518021 | CIGNA - HEALTHSOURCE |
| New Hampshire | Other | 020518021 | CIGNA - HEALTHSOURCE |
| New Hampshire | Other | 2375234 | CIGNA - HEALTHSOURCE |
| New Hampshire | Other | 4570918 | CIGNA - HEALTHSOURCE |
| New Hampshire | Other | 020518021 | CIGNA - HEALTHSOURCE |
| New Hampshire | Other | 204146 | CIGNA - HEALTHSOURCE |
| New Hampshire | Other | 0105100YPNH01 | CIGNA - HEALTHSOURCE |
| New Hampshire | MEDICAID | 3094016 | CIGNA - HEALTHSOURCE |
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